| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,328 |
1,263 |
$86K |
| 99442 |
|
463 |
437 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
337 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
280 |
279 |
$30K |
| 99490 |
Ccm add 20min |
712 |
712 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
95 |
$3K |
| 93000 |
|
236 |
235 |
$2K |
| 99441 |
|
13 |
12 |
$540.41 |
| 90688 |
|
24 |
24 |
$453.91 |
| 90756 |
|
13 |
13 |
$378.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$120.00 |